Organization
TARRANT GASTROENTEROLOGY ASSOCIATES PA
Active
Organization
TARRANT GASTROENTEROLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRIYA RANGASAMY MD (OWNER)
(817) 877-0200
Entity
Organization
Contact information
Practice address
1111 5TH AVE, FORT WORTH, TX 76104-4302
(817) 877-0200
(817) 877-0203
Mailing address
3020 BELLAIRE RANCH DR APT 1517, FORT WORTH, TX 76109-1843
(817) 877-0200
(817) 877-0203
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
09/23/2011
Last updated
11/28/2011
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